Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Title slide Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Breast cancer knows no prejudice and affects Native women just as it does other women. Most Non-Native women are diagnosed with breast cancer after the age of 50. However, based on women in the “National Native American Cancer Survivors’ Support Network” about half of Native women diagnosed with breast cancer were younger than age 50. Although most American Indian and Alaska Native women who are diagnosed with breast cancer are 40 years old and older, some younger Native women have also been diagnosed. These three photos are of women enrolled in the National Native American Breast Cancer Survivors’ Support Network (1-800-537-8295). These and others have helped Native American Cancer Research (NACR) develop cancer education support resource materials. We hope this product is of use to you and your community. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

All four are employees of NACR. Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Lisa Harjo, MA (Choctaw) took the leadership role in modifying this education product. Terri Rattler (Oglala) helped to refine the product and assisted Ms. Harjo in the focus group evaluation and pretesting. Linda Burhansstipanov (Linda Bee) (Cherokee) helped refine and added the scientific and cultural-specific information and layout of the product. Rick Clark helped modify graphics to respond to focus group members’ suggestions and expert reviewers’ comments. All four are employees of NACR. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 NACR staff have wanted to develop culturally relevant resources such as this material for many years. However, to do so in a conscientious, scientific, and culturally respectful manner requires funding. We are very thankful to the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation for supporting our local NACR program, “Native American Women’s Wellness through Awareness” (NAWWA). Through their support in 2002, NACR staff were able to develop, pretest, and disseminate this product. NACR is a partner with Mayo Clinic’s Native American Programs (“Spirit of EAGLES”, the Native CIRCLE, and the Native WEB). “Spirit of EAGLES” funding partially supported the refinement and dissemination of this product. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Linda Krebs, RN, AOCN, PhD, provided a very detailed review of scientific accuracy. Catherine A. Offutt, was the Project Coordinator of the Pathways to a Healthy Life project, which was supported by the national Susan G. Komen Breast Cancer Foundation in 1999 (grant #9820). This was a partnership among the women’s Health Coordinators from the Navajo Nation, Hopi Tribe, Indian Health Service, the New Mexico Breast and Cervical Cancer Program, Zuni and Apache Nations. The graphics from their lovely and effective booklet were used or modified for use within this product. The Rocky Mountain Cancer Information Service Partnership Program developed the original flip chart which served as the model for this product, Spread the Word about Mammograms and the Pap Test: An Educational Resource for Health Care Professions. Pub. No. 844. This product is limited to breast because NACR is awaiting approval to use graphics from another American Indian program within the Cervix Health product. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 This is an introductory slide with a focus of the message we want to leave with them. It is presented here in case the women are unable to take part in the entire health education session. NAWWA is the name of our local Denver program. It stands for Native American Women’s Wellness through Awareness. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

These behaviors help to prevent cancer heart disease diabetes obesity Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Rather than emphasizing all of the things that are bad for our health, this section begins with a short list of “don’ts” but the focus is on behaviors that contribute to health ... These behaviors help to prevent cancer heart disease diabetes obesity Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Many people wanted a summary included of what we should and should not do daily to be well women and models for our children and communities. That is why the next several slides are included. The brown coloring is an additional cue to the Native Sister that this is a summary of negative behaviors. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 This slide includes items which are spiritually negative for one’s health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Basic recommendations for good health Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Basic recommendations for good health Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Lisa Harjo and Terri Rattler answer both the local Denver number and the toll free number. The CIS number goes to whichever CIS is closest to your location. For example, in Denver, we reach the Rocky Mountain CIS offices. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 Brochures Breast Cancer Cervical Cancer Endometrial Cancer Prostate Cancer Lung Cancer Dietary Needs of Cancer Patients Cancer Control Materials Smoking and Smoking Cessation Dietary Habits and Healthy Eating Healthy Living Styles Videos Wellness Native Nutrition PAP Smear/Cervical Cancer Tobacco and Health Stories of AI/AN Cancer Survivors Smoking Cessation Online Resources American Indian Resource Center Association of American Indian Physicians Center for American Indian Research and Education (CAIRE) Native American Resources on the Internet Native American Cancer Initiatives, Inc Indian Health Services Minnesota Indian Affairs Council Susan G. Komen Breast Cancer Foundation American Cancer Society Center for Disease Control and Prevention (CDC) Native American Women's Health Education Resource Center Northwest Portland Area Indian Health Board Other Resources Extensive Bibliography Access to Medical Journals and Reference Materials Grant Information Speakers Bureau Introduction.10 Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 These are the local public health educators and Native Sisters and are available to help local women take part in screening, receive personalized breast health education, and similar related functions. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives

Get on the Path to Breast Wellness -- Denver NAWWA Program (303-837-7163) of NACR (303-838-9359); Survivors’ Network 800-537-8295 This is the national headquarters for any queries from women within or outside of Colorado. Thank you for taking time to visit with us and talk about breast health. Be well. Supported by the Denver Affiliate of the Susan G. Komen Breast Cancer Foundation; Mayo Clinic’s Spirit of EAGLES, and Native American Cancer Initiatives